{if !$confirmed}
<form action="" method="get">
	<label for="poengfor">Poeng deg: </label><input type="text" name="pointsfor" id="pointsfor" value="{$pointsfor}" />
	<label for="poengimot">Poeng imot </label><input type="text" name="pointsagainst" id="pointsagainst" value="{$pointsagainst}" />
	<input type="hidden" name="name" value="{$name}" />
	<input type="hidden" name="page" value="reportloss" />
	<input type="submit" value="Ok" />
	<input type="reset" value="reset" />
</form>
{else}
<p>Takk for din reportering. Bedre lykke neste gang.</p>
{/if}

<p><a href="?page=bracket&name={$name}">Tilbake</a></p>